Troy Regional Medical Center

Detailed report on the hospital located in Troy, Alabama (AL).

Troy Regional Medical Center is a for-profit acute care hospital based at 1330 Highway 231 South in Troy, AL. The facility is accredited and does not provide emergency services.
The mortality rate for heart attack patients at the facility is no different than the national rate. The patient mortality rate is also no different than the national rate.
In 2006, a total of 647 Medicare patients were given 3,430 days of PPS inpatient care and services. The provider was reimbursed $4,448,215 by Medicare for those services. A total of 36 Medicare patients were given 210 days of swing bed care and services in 2006, and the provider was reimbursed $49,054 by Medicare. 3,014 Medicare patients were given outpatient care and services by this provider in 2006. The provider was reimbursed $1,200,418 by Medicare for these services.

When compared to other hospitals in the state,
heart failure patients at this facility are less likely to be given discharge instructions.
Pneumonia patients at this facility are less likely to be given the most appropriate initial antibiotics.

Quality Measures

Heart Attack Patients Given Inhibitor or ARB

The percentage of heart attack patients given ace inhibitor or arb for left ventricular systolic dysfunction (lvsd). The sample size for this measure was 2 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

100.00%

Alabama

77.94%

United States

82.44%

Heart Attack Patients Given Aspirin at Discharge

The percentage of heart attack patients given aspirin at discharge. The sample size for this measure was 8 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

75.00%

Alabama

87.44%

United States

90.10%

Heart Attack Patients Given Beta Blocker at Discharge

The percentage of heart attack patients given beta blocker at discharge. The sample size for this measure was 7 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

71.00%

Alabama

86.09%

United States

89.74%

Heart Failure Patients Given ACE Inhibitor or ARB

The percentage of heart failure patients given ace inhibitor or arb for left ventricular systolic dysfunction (lvsd). The sample size for this measure was 17 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

59.00%

Alabama

79.57%

United States

82.00%

Heart Failure Patients Given Discharge Instructions

The percentage of heart failure patients given discharge instructions. The sample size for this measure was 48 patients.

This Provider

35.00%

Alabama

54.40%

United States

60.95%

Pneumonia Patients Given Influenza Vaccination

The percentage of pneumonia patients assessed and given influenza vaccination. The sample size for this measure was 21 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

62.00%

Alabama

62.12%

United States

69.93%

Pneumonia Patients Given Antibiotics within 4 Hours

The percentage of pneumonia patients given initial antibiotic(s) within 4 hours after arrival. The sample size for this measure was 75 patients.

This Provider

81.00%

Alabama

79.23%

United States

80.14%

Pneumonia Patients Given Smoking Cessation Advice

The percentage of pneumonia patients given smoking cessation advice or counseling. The sample size for this measure was 18 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

78.00%

Alabama

77.14%

United States

79.65%

Pneumonia Patients whose Blood Culture Performed Prior to Antibiotics

The percentage of pneumonia patients whose initial emergency room blood culture was performed prior to the administration of the first hospital dose of antibiotics. The sample size for this measure was 31 patients.

This Provider

94.00%

Alabama

89.49%

United States

90.43%

Surgery Patients Given Appropriate Antibiotics

The percentage of surgery patients who received the appropriate preventative antibiotic(s) for their surgery. The sample size for this measure was 20 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

85.00%

Alabama

87.76%

United States

89.88%

Heart Attack Patients Given Aspirin at Arrival

The percentage of heart attack patients given aspirin at arrival. The sample size for this measure was 11 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

73.00%

Alabama

87.07%

United States

92.45%

Heart Attack Patients Given Beta Blocker at Arrival

The percentage of heart attack patients given beta blocker at arrival. The sample size for this measure was 8 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

75.00%

Alabama

81.48%

United States

87.23%

Heart Attack Patients Given Smoking Cessation Advice

The percentage of heart attack patients given smoking cessation advice or counseling. The sample size for this measure was 2 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

0.00%

Alabama

85.38%

United States

87.61%

Heart Failure Patients Given Evaluation of LVS Function

The percentage of heart failure patients given an evaluation of left ventricular systolic (lvs) function. The sample size for this measure was 64 patients.

This Provider

80.00%

Alabama

79.12%

United States

83.53%

Heart Failure Patients Given Smoking Cessation Advice

The percentage of heart failure patients given smoking cessation advice or counseling. The sample size for this measure was 15 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

80.00%

Alabama

77.65%

United States

81.61%

Pneumonia Patients Given Pneumococcal Vaccination

The percentage of pneumonia patients assessed and given pneumococcal vaccination. The sample size for this measure was 46 patients.

This Provider

61.00%

Alabama

61.16%

United States

69.00%

Pneumonia Patients Given Oxygenation Assessment

The percentage of pneumonia patients given oxygenation assessment. The sample size for this measure was 83 patients.

This Provider

96.00%

Alabama

98.52%

United States

99.26%

Pneumonia Patients Given Most Appropriate Antibiotics

The percentage of pneumonia patients given the most appropriate initial antibiotic(s). The sample size for this measure was 52 patients.

This Provider

63.00%

Alabama

81.43%

United States

82.91%

Surgery Patients Given Antibiotics 1 Hour Before Incision

The percentage of surgery patients who received preventative antibiotic(s) 1 hour before incision. The sample size for this measure was 41 patients.

Note:

Rate reflects fewer than the maximum possible quarters of data for the measure.

This Provider

41.00%

Alabama

73.91%

United States

76.95%

Surgery Patients whose Antibiotics Stopped within 24 Hours of Surgery

The percentage of surgery patients whose preventative antibiotic(s) are stopped within 24 hours after surgery. The sample size for this measure was 41 patients.

Note:

Rate reflects fewer than the maximum possible quarters of data for the measure.

Treatment Figures

PPS Inpatients

The number of prospective payment system inpatients treated by this provider that were covered by Medicare Part A in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

647

Alabama Average

1,871

United States Average

2,267

PPS Inpatient Utilization Days

The number of days of prospective payment system inpatient care that are chargeable to Medicare Part A facility utilization by this provider in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

3,430

Alabama Average

13,294

United States Average

17,102

Swing Bed Patients

The number of swing bed patients treated by this provider that were covered by Medicare Part A in 2006. A swing bed is defined as a bed that can be used when a patient no longer needs acute care, but still needs nursing care and observation.

This Provider

36

Alabama Average

56

United States Average

75

Outpatients

The number of outpatients treated by this provider that were covered by Medicare Part B in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider

3,014

Alabama Average

6,377

United States Average

7,242

PPS Inpatient Days

The number of days of prospective payment system inpatient care given by this provider that were covered by Medicare Part A in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

3,449

Alabama Average

13,446

United States Average

17,255

PPS Inpatient Discharges

The number of prospective payment system inpatient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

819

Alabama Average

2,497

United States Average

2,995

Swing Bed Utilization Days

The number of days of swing bed care that are chargeable to Medicare Part A facility utilization by this provider in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A swing bed is defined as a bed that can be used when a patient no longer needs acute care, but still needs nursing care and observation.

This Provider

210

Alabama Average

559

United States Average

775

Swing Bed Patient Discharges

The number of swing bed patient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A swing bed is defined as a bed that can be used when a patient no longer needs acute care, but still needs nursing care and observation.

This Provider

36

Alabama Average

61

United States Average

88

Financials

Medicare PPS Inpatient Payments

The total prospective payment system inpatient associated Medicare Part A payments, plus pass-through, made to this provider in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$4,448,215

Alabama Average

$18,635,782

United States Average

$28,006,530

Medicare Payments Per PPS Inpatient Day

The average Medicare payments made to this provider per Medicare Part A covered prospective payment system inpatient day in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$1,290

Alabama Average

$1,386

United States Average

$1,623

Medicare Payments Per PPS Inpatient Discharge

The average Medicare payments made to this provider per Medicare Part A covered prospective payment system inpatient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$5,431

Alabama Average

$7,464

United States Average

$9,352

Medicare Swing Bed Payments

The total swing bed associated Medicare Part A payments made to this provider in 2006. A swing bed is defined as a bed that can be used when a patient no longer needs acute care, but still needs nursing care and observation.

This Provider

$49,054

Alabama Average

$186,690

United States Average

$516,856

Medicare Payments Per Swing Bed Utilization Day

The average Medicare payments made to this provider per Medicare Part A covered swing bed utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A swing bed is defined as a bed that can be used when a patient no longer needs acute care, but still needs nursing care and observation.

This Provider

$234

Alabama Average

$334

United States Average

$667

Medicare Outpatient Payments

The total outpatient associated Medicare Part B payments made to this provider in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider

$1,200,418

Alabama Average

$3,899,550

United States Average

$5,694,349

Medicare Payments Per PPS Inpatient

The average Medicare payments made to this provider per Medicare Part A covered prospective payment system inpatient in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$6,875

Alabama Average

$9,960

United States Average

$12,356

Medicare Payments Per PPS Inpatient Utilization Day

The average Medicare payments made to this provider per Medicare Part A covered prospective payment system inpatient utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$1,297

Alabama Average

$1,402

United States Average

$1,638

Medicare Payments Per Swing Bed Patient

The average Medicare payments made to this provider per Medicare Part A covered swing bed patient in 2006. A swing bed is defined as a bed that can be used when a patient no longer needs acute care, but still needs nursing care and observation.

This Provider

$1,363

Alabama Average

$3,329

United States Average

$6,860

Medicare Payments Per Swing Bed Patient Discharge

The average Medicare payments made to this provider per Medicare Part A covered swing bed patient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A swing bed is defined as a bed that can be used when a patient no longer needs acute care, but still needs nursing care and observation.

This Provider

$1,363

Alabama Average

$3,048

United States Average

$5,870

Medicare Payments Per Outpatient

The average Medicare payments made to this provider per Medicare Part B covered outpatient in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.